分阶段护理干预对慢性阻塞性肺疾病合并呼吸衰竭患者肺功能及血气指标的影响

Effects of Staged Nursing Intervention on Pulmonary Function and Blood Gas Indexes of Chronic Obstructive Pulmonary Disease Patients with Respiratory Failure

目的:探讨分阶段护理干预对慢性阻塞性肺疾病(COPD)合并呼吸衰竭患者心理状况及肺功能的影响.方法:选取本院2021年3月至2022年9月期间收治的75例COPD合并呼吸衰竭患者作为研究对象,采用随机数字表法,将其分为实验组(n=38,予以分阶段护理干预)和常规组(n=37,予以常规护理干预).比较两组患者干预前后心理状况、肺功能、生活质量、康复进程(住院时间、通气时间)及并发症发生情况.结果:干预后,实验组患者心理状况、生活质量均优于常规组,肺功能高于对照组,差异具有统计学意义(P<0.05);实验组患者住院时间、通气时间均短于常规组,差异具有统计学意义(P<0.05);实验组患者并发症发生率(2/38,5.26%)低于常规组(9/37,24.32%),差异具有统计学意义(P<0.05).结论:分阶段护理干预可促进COPD合并呼吸衰竭患者心理健康,改善其肺功能,提高其生活质量,促进康复.

Objective:To explore the effect of staged nursing intervention on the psychological status and pulmonary function of patients with chronic obstructive pulmonary disease(COPD)combined with Respiratory failure.Methods:A total of 75 patients with COPD and respiratory failure admitted to our hospital from March 2021 to September 2022 were selected as the study objects and randomly divided into experimental group(n=38,received staged nursing interventions)and control group(n=37,received routine nursing interventions).The psychological status,lung function,quality of life,and rehabilitation process(length of hospital stay,ventilation time)before and after intervention,as well as the occurrence of complications were compared between the two groups.Results:After intervention,the psychological status and quality of life in experimental group were better than those in conventional group,and the lung function was higher than that in control group,the differences were statistically significant(P<0.05).The hospitalization and ventilation time in experimental group were shorter than those in conventional group,the differences were statistically significant(P<0.05).The incidence of complications in experimental group(2/38,5.26%)was lower than that in conventional group(9/37,24.32%),the difference was statistically significant(P<0.05).Conclusion:Phased nursing intervention can promote the mental health of patients with COPD complicated with respiratory failure,improve their lung function,enhance their quality of life,and promote rehabilitation.